Table 1.
Major studies on supplemental oxygen in preterm infants
Studya | Infant characteristics | Intervention or study comparison | Outcome |
---|---|---|---|
ELGAN (2002-2004)29 | Infants born <28 wks GA | Blood gases on first 2 of 3 postnatal days |
Infants in greatest quartile for PaO2 or PCO2 or lowest quartile for pH had increased risk of zone 1 and severe ROP |
Pulse Oxygen Saturation Levels and Arterial Oxygen Tension Values (7/2005-11/2006)28 |
Prospective comparison of PaO2 and SaO2 values (mean GA, 29.2 ± 5.2 wks; mean birth weight, 1,338 ± 871.5 g) |
PaO2 and SaO2 measurements | SaO2 of 85%-93% aligned with mean PaO2 of 56 ± 14.7 mm Hg; SaO2 >93% aligned with mean PaO2 of 107.3 ± 59.3 mm Hg and >80 mm Hg 60% of time |
STOP-ROP (2/94-3/99)37 | Prethreshold ROP one eye | 96%-99% SaO2 vs 89%-94% SaO2 | No difference in ROP, adverse pulmonary outcomes in 96%-99% SaO2 |
SUPPORT (2/2005-2/2009)2,42 |
24 to <28 wks’ GA | 85%-89% SaO2 vs 91%-95% SaO2 | Increased mortality in 85%-89% SaO2; of survivors, less ROP in 85%-89% SaO2 |
BOOST II (2006-2011)43 | <28 wks’ GA | 85%-89% SaO2 vs 91%-95% SaO2 | Greater survival rate in 91%-95% SaO2 |
GA, gestational age.
BOOST, Benefits of Oxygen Saturation Targeting Study; ELGAN, Extremely Low Gestational Age Newborn; STOPROP, Supplemental Therapy with Oxygen to Prevent ROP Trial; SUPPORT, Surfactant, Positive Airway Pressure, Pulse Oximetry Randomized Trial.